Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rogers Dental Center PA

Organization General Practice Dentistry · NPI 1386715704

Rogers Dental Center PA is a General Practice Dentistry in Rogers, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21410 136th Ave N Ste #109
Rogers, MN 55374
Phone: (763) 428-2217
Fax: (763) 428-8586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D9395 (MN)

Record details

NPI number1386715704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shana Heisler — President · (763) 428-2217
NPI enumeratedNovember 10, 2006
Last updated in NPPESJuly 2, 2019
Mailing address21410 136th Ave North Suite #109, Rogers, MN 55374

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